Performers/Presenters Information Form

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* 1. Your Name or Contact Person

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* 2. City, State, Zip

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* 3. Contact Phone Number

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* 4. Email Address

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* 5. Website and/or Social Media link

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* 6. How do you prefer to be contacted

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* 7. Program Title

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* 8. Brief Program Description (no more than 125 words)

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* 9. Length of Program

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* 10. Type of Presentation (check all that apply)

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* 11. Age Level (check all that apply)

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* 12. Fee for Performing/Presenting

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* 13. Reference #1 (include Contact Info)

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* 14. Reference #2 (include Contact Info)

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* 15. If you have an image you would like to include, please upload here

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